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Legislative Year: 2023 Change

Bill Detail: SB23-289

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Title Community First Choice Medicaid Benefit
Status Governor Signed (05/25/2023)
Bill Subjects
  • Health Care & Health Insurance
House Sponsors S. Bird (D)
E. Sirota (D)
Senate Sponsors R. Zenzinger (D)
J. Bridges (D)
House Committee Public and Behavioral Health & Human Services
Senate Committee Health and Human Services
Date Introduced 04/18/2023

Joint Budget Committee. The bill requires the department of
health care policy and financing (department) to seek federal
authorization through an amendment to the state medical assistance plan
to implement the community first choice option.
The bill requires the state plan amendment to include personal care
services, homemaker services, health maintenance activities, personal
emergency response system and other emergency back-up services, and
voluntary training on how to select, manage, and dismiss an attendant.
The bill authorizes the department to provide permissible services
and supports that are linked to an assessed need or goal in an individual's
person-centered service plan, including transition costs and expenditures
relating to increasing an individual's independence or reducing reliance
on human assistance.
To be eligible for the community first choice option, an individual
  • Be eligible for the state medical assistance program;
  • Be in an eligibility group under the state medical assistance
program that includes nursing facility services, or if in an
eligibility group that does not include nursing facility
services, have an income that is at or below 150% of the
federal poverty level; or
  • Receive an annual determination that in the absence of
home- and community-based attendant services and
supports, the individual would require the level of care
furnished in certain care settings.
The bill makes conforming amendments to remove the services
provided through the community first choice option from other long-term
care waiver programs.

Committee Reports
with Amendments
Full Text
Full Text of Bill (pdf) (most recent)
Fiscal Notes Fiscal Notes (07/11/2023) (most recent)  
Additional Bill Documents Bill Documents
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  • Past fiscal notes
  • Committee activity and documents
  • Bill History
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